Fundamentals of Nursing
Active Learning for Collaborative Practice
3rd Edition
By
Barbara L. Yoost, Lynne R. Crawford
,Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3rd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
practice. The students would be correct if they chose which theory to prioritize patient care?
a. Erikson‘s Psychosocial Theory
b. Paul‘s Critical-Thinking Theory
c. Maslow‘s Hierarchy of Needs
d. Rosenstock‘s Health Belief Model
ANS: C
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that affect
each person‘s physical and mental health. The nurse‘s understanding of these factors helps
with formulating Nursing diagnoses that address the patient‘s needs and values to prioritize
care. Erikson‘s Psychosocial Theory of Development and Socialization is based on
individuals‘ interacting and learning about their world. Nurses use concepts of developmental
theory to critically think in providing care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
possible reasons for why a patient may not comply with recommended health promotion
behaviors. This model is especially useful to nurses as they educate patients.
DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEX Client Needs C N
a te gR
o r y: IS a f G
e a nB .C M
d Effective Care Environment: Management of Care
U
NOT: Concepts: Care Coordinati on
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
student would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the patient and the environment decreases the capacity for
health.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale‘s (1860) concept of the environment emphasized prevention and clean
air, water, and housing. This theory states that the imbalance between the patient and the
environment decreases the capacity for health and does not allow for conservation of energy.
Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal
process between a nurse and a patient. Virginia Henderson described the nurse‘s role as
substitutive (doing for the person), supplementary (helping the person), or complementary
(working with the person), with the goal of independence for the patient. Martha Rogers
(1970) developed the Science of Unitary Human Beings. She stated that human beings and
their environments are interacting in continuous motion as infinite energy fields.
DIF: Understanding OBJ: 1.4 TOP: Planning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Health Promotion
,3. The nurse identifies which nurse established the American Red Cross during the Civil War?
rt rt rt rt rt rt rt rt rt rt rt rt rt
a. Dorothea Dix rt
b. Linda Richards rt
c. Lena Higbee rt
d. ClaraBarton rt
ANS: D rt
Clara Barton practiced nursing in the Civil War and established the American Red Cross. Doroth
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eaDix was the head of the U.S. SanitaryCommission, which was a forerunner of the Army Nurse C
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orps. Linda Richards was America‘s first trained nurse, graduating from Boston‘s Women‘s Hos
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pital in 1873, and Lena Higbee, superintendent of the U.S. Navy Nurse Corps, was awarded the N
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avy Cross in 1918. rt rt rt
DIF: Remembering OBJ: 1.3 r t
TOP:Assessment MSC: NCLEX Client Needs Category: Health Promotion an rt rt r t rt rt rt rt rt rt
d Maintenance
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NOT: Concepts: Professionalism rt rt
4. Thenursing instructor is researching the fiveproficiencies regarded as essential for students and
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professionals. The nursing instructor identifies which organization would be found to have ad rt rt rt rt rt rt rt rt rt rt rt rt
ded safety as a sixth competency?
rt rt rt rt rt
a. Qualityand SafetyEducation for Nurses (QSEN) rt rt rt rt rt rt
b. Institute of Medicine (IOM) rt rt rt
c. American Association of Colleges of Nursing (AACN) rt rt rt rt rt rt
d. National League for Nursing (NLN) rt rt rt rt
ANS: A rt
TheInstituteof Mediciner epNort,RHe I GProBfe.ssCio nMs Education:ABridgeto Quality(2003),outlines fiv
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e core competencies. These include
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Ua lt hpatient-centered
rt care, interdisciplinary
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teamwork, use of evidence- rt rt rt
based medicine, quality improvement, and use of information technology. QSEN added safety as
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a sixth competency. The Essentials of Baccalaureate Education for Professional Nursing Practic
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e are provided and updated by the American Association of Colleges of Nursing (AACN) (2008). T
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he document offers a framework for the education of professional nurses with outcomes for student
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s to meet. The National League for Nursing (NLN) outlines and updates competencies for practical
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, associate, baccalaureate, and graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning r t r t r t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT: C
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oncepts: Care Coordination rt rt
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When hiri
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ng graduate nurses, the nurse manager realizes that they will probably not be considered
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―competentǁ until they complete which task? rt rt rt rt rt
a. They graduate and pass NCLEX. rt rt rt rt
b. They have worked 2 to 3 years. rt rt rt rt rt rt
c. Their last year of nursing school. rt rt rt rt rt
d. They are actually hired. rt rt rt
ANS: B rt
, DIF: Remembering OBJ: 1.1 TOP: Assessment r t r t r t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT: C
r t rt rt rt rt rt rt rt rt rt rt rt rt rt
oncepts: Care Coordination rt rt
8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the nurs
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e notifies the health care provider of the patient’s decision, the nurse is acting in which role?
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a. Manager
b. Change agent rt
c. Advocate
d. Educator
ANS: C rt
As the patient’s advocate, the nurse interprets information and provides the necessary educatio
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n. The nurse then accepts and respects the patient’s decisions even if they are different from the
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nurse’s own beliefs. The nurse supports the patient’s wishes and communicates them to other h
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ealth care providers. A nurse manages all of the activities and treatments for patients. In the role
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of change agent, the nurse works with patients to address their health concerns and with staff me
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mbers to address change in an organization or within a community. The nurse ensures that the pat
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ient receives sufficient information on which to base consent for care and related treatment. Edu
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cation becomes a major focus of discharge planning so that patients will be prepared to handle t
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heir own needs at home.rt rt rt rt
DIF: Applying OBJ: 1.2 TOP: Implementation r t r t r t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT: C
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oncepts: Care Coordination rt rt
9. The nursing student develops a plan of care based on a recently published article describing the
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effects of bed rest on a patient’s calcium blood levels. When creating the plan of care, the nursing
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student has the obligation to consider which action? rt rt rt rt rt rt rt
a. Criticallyappraise the evidence and determine validity. rt rt rt rt rt rt
b. Ensure that the plan of care does not alter current practice. rt rt rt rt rt rt rt rt rt rt
c. Change the process even when there is no problem identified. rt rt rt rt rt rt rt rt rt
d. Maintain the plan of care regardless of initial outcome. rt rt rt rt rt rt rt rt
ANS: A rt
Evidence-based practice (EBP) is an integration of the best- rt rt rt rt rt rt rt rt
available research evidence with clinical judgment about a specific patient situation. The nurse a
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ssesses current and past research, clinical guidelines, and other resources to identifyrelevant literat
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ure. The application of EBP includes critically appraising the evidence to assess its validity, design
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ing a change for practice, assessing the need for change and identifying a problem, and integratin
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g and maintaining change while monitoring process and outcomes by reevaluating the application
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of evidence and assessing areas for improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation r t r t r t
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care NOT: C
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oncepts: Care Coordination rt rt